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5f 1b <br /> DANE COUNTY ZONING DIVISION <br /> 00-1 b 9 <br /> CITY COUNTY BUILDING, RM 116 ' <br /> 210 MARTIN LUTHER KING, JR. BLVD. r <br /> MADISON, WISCONSIN 5 370 3-3 342 <br /> PHONE 266-4266 FAX 267-1540 44CO1y <br /> www.countyofdane.com/zoninq <br /> ZONING PERMIT CHECKLIST <br /> PLEASE FILL IN AS MUCH INFORMATION AS POSSIBLE. <br /> 1. LANDOWNER: 1At ,,e �' M_ci clue C br2- ctsf..AGENT: <br /> ADDRESS: a!YomJt Pj ADDRESS: <br /> l'1CFOX 1a�nd W1 3SS? <br /> PHONE: 4:),NS-C7C )OO PHONE: <br /> EMAIL: ItC1.'C'5(1e lJi Ca`l1SF-t(ID Ualil ddctr, EMAIL: <br /> co LM <br /> 2. TYPE OF PROJECT: 2�GC�. J,0 <br /> ESTIMATED COST OF CONSTRUCTION: $ 15 ,n60 (Structure plus mechanicals) <br /> 3. ADDRESS OF PROJECT, IF KNOWN: •-%or.0 QS 4to1F4. <br /> 4. LOCATION OF PROJECT: 5t.c a3-10-10 Pfd c V LO-1/4- 1 <br /> c_o ran L130 1 <br /> TOWNSHIP,SECTION,1/41/4 c-o r r\e�.1 1 L-1 N W\ I y •#Y-' S cc]‘-Co 4 <br /> TAX PARCEL NUMBER. OG - 3a - (") (p <br /> SUBDIVISION OR CSM#(Certified Survey Map),IF ANY:: <br /> LOT NUMBER,IF ANY: <br /> 6. ZONING DISTRICT: A — EX R -3 <br /> 7. SITE PLAN: *A site plan must be drawn to scale showing the lot lines and lot dimensions, the locatior, <br /> and size of all existing and,pressed buiLQ!in s or additions and their distances from <br /> lot lines. If the lot is opetved by public sewer the location and size of the on-site <br /> septic system and the location of the well shall be shown on the plan. <br /> Example of a Site P/an on reverse. <br /> 8 FLOOR PLANS AND ELEVATION VIEWS(front, sides, rear): A copy will be kept in Zoning Division files <br /> Examples of Floor Plans and Elevations attached. <br /> 9. PUBLIC SEWER OR PRIVATE SEPTIC SYSTEM? OO l L <br /> STATE SANITARY PERMIT NEEDED? Y IF YES, PERMIT# <br /> APPROVAL FOR ADDING BEDROOM OR > 25% AREA NEEDED? Y /® IF YES, PROVIDED? Y/ N <br /> 10. DRIVEWAY(or Culvert or Access) PERMIT NEEDED? Y OIF YES, PROVIDED? Y/N <br /> Many Towns require a Driveway Permit;County Highway Department or WDOTpermits may be required for <br /> driveways with access to a County, State or US Highway <br /> 11. SHORELAND? Y FLOODPLAIN? Y N WETLANDS Y 4® <br /> 12. TOTAL AREA OF LAND DISTURBANCE (Square feet) ... E l <br />